| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
91 |
89 |
$1K |
| V2020 |
Frames, purchases |
26 |
26 |
$823.31 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$265.78 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$25.68 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
272 |
255 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |